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linda@lindafinlay.co.uk or Linda.Finlay@open.ac.uk

Blog

The challenges of working relationally

Every moment of deep relational connection is powerfully demanding and impacts both the client and the therapist. Therapists are part of the dynamic, and we need to acknowledge our involvement.  We confront 6 key relational challenges:

  • Coping with relational dynamics involving powerful transferences and potential projections or enactments of unhealthy cycles – There is a need to be reflexive (i.e., self-aware) about one’s own participation and co-transference while being open to processing this through dialogue.
  • Navigating ruptures, impasses, misattunements and miscommunications – There is a need to see these as inevitable and necessary while owing one’s responsibility to process and heal them.
  • Handling complex, layered power imbalances and dynamics – There is a need to be reflexive and engage in dialogue about the intersectional interconnections/distances that impact values/beliefs, and social positionings.
  • Deciding the level of relationality re: how much mutuality and how present and self-disclosing to be – There is a need to keep open and curious with an eye to what is in the client’s interests.
  • Managing emotional vulnerability, compassion fatigue, vicarious traumatisation and/or burn-out – There is a need for self-care and both internal and external support.
  • Dealing with endings that may trigger feelings of abandonment, loss or rejection – There is a need to stay present to one’s grief, avoiding temptations to shut down, push away, rescue, or encourage the client’s over-dependence.


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Reflecting on Relational Therapy

I am fascinated by the intimate relational journey that can take place in therapy – a journey filled with mysterious ambiguity, messiness, torment and confusion, as well as layered moments of deep, satisfying contact, touching insight and poignant transformation. 

And, of course every therapy is different. Relational therapy, at its best, is a dynamic, co-creative process shaped moment-to-moment by the specific relationship between client and therapist in their particular social/cultural contexts. “The flow of therapy should be spontaneous, forever following unanticipated riverbeds,” as Yalom (2001, p. 34) advises us. More than this, he famously notes, “We need to go even further: the therapist must strive to create a new therapy for each patient.” [italics in original].   

Relational therapists offer openness and hospitality as they connect with their clients, to enable them to feel witnessed, affirmed, resourced, empathised with and held. As they challenge their clients to grow, so too are they challenged. In particular, therapists are taxed with having to stay of stay present to clients’ stress/distress, turmoil and trauma while being asked to play mother/father/nursemaid, friend, witness, confidant, coach, or be an object to be adored or used, even battered… And, there are those special inspiring moments of connection which are as nourishing for the therapist as they are for the client.

As therapists we are often left muddling through, going with our “gut” intuition, exercising our professional judgment as best we can even when the outcome is unpredictable. The emotional labour can be intense, and sometimes costly. But it’s also a privilege and honour to do this work. We invariably learn from our clients: about mysterious intersubjective processes but also, we have the opportunity learn how to be better therapists and, ultimately, better people.

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Decolonizing therapy

Decolonizing therapy lies at the intersection of mental health and social justice and is underscored with relational intent. Its about challenging the legacy of colonialism and associated inherited prejudices.   It’s about deconstructing any lurking Western ideologies of superiority and challenging the “colonial gaze” (i.e., any the tendency to look down upon and dehumanize the colonized – or formerly colonized – “other”). At the same time, it strives for an attitude of openness towards the indigenous knowledge and cultural practices . 

In the field of therapy, abundant research testifies to the damaging impact of arrogant, smug, knowing colonial superiority on people’s mental well-being. However, the degree to which such damage, inherited from the past as well suffered in the present, can be rectified is debatable. Even where attempts are made to infuse therapy with a decolonizing spirit, this may not eliminate all alienating practices.

At its heart, decolonizing therapy invites us to be aware of power dynamics and oppression while being reflexively aware of how our own positionality and biases can be involved. It starts by acknowledging - and challenging - the ways in which colonial bias and deeply embedded notions of cultural superiority can shape research and therapy practice. It identifies the way in which power structures can pathologize particular communities. Beyond ‘cultural competence’, this stance requires an attitude of cultural humility where the diversity of knowledge systems is recognized and therapy is approached in more collaborative ways.

That said, in my view, the decolonizing spirit does not mean unconditionally and uncritically accepting all traditional practices, rather it promotes awareness of their meaning and valuing their contribution. This recognises the limits of “cultural humility” and acceptance while emphasising “cultural openness”.

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Linda Finlay - Psychotherapist

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